4 results on '"Arneja S"'
Search Results
2. A Randomized Clinical Trial to Assess the Clinical Effectiveness of a Measured Objective Tensioning Device in Hamstring Anterior Cruciate Ligament Reconstruction.
- Author
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Grunau PD, Arneja S, and Leith JM
- Subjects
- Adult, Anterior Cruciate Ligament Injuries surgery, Anterior Cruciate Ligament Reconstruction adverse effects, Female, Humans, Joint Instability etiology, Knee Joint surgery, Male, Postoperative Complications, Prospective Studies, Quality of Life, Surveys and Questionnaires, Thigh, Treatment Outcome, Anterior Cruciate Ligament Reconstruction methods, Tendons transplantation
- Abstract
Background: Soft tissue grafts are commonly used in surgical reconstruction of the anterior cruciate ligament (ACL). Applying the appropriate tension to the final graft reconstruction has traditionally been performed by the surgeon and is based on the surgeon's experience and perception of applied tension. Problems with manual application of tension to the ACL reconstruction include under- or overtightening the reconstruction, inconsistent tension application among subjects, and variable load application to each strand., Purpose: To assess whether measured tensioning of hamstring ACL grafts during fixation improves clinical outcome or knee laxity postoperatively when compared with conventional tensioning maneuvers., Study Design: Randomized controlled trial; Level of evidence, 1., Methods: This was a prospective randomized controlled trial of consecutive primary ACL patients. The device group included patients in whom a measured tensioning device was used for graft tensioning (80 N), and the physician group did not use a tensioning device. The primary outcome was KT-1000 arthrometer side-to-side laxity differences between knees at 6, 12, and 18 months postoperatively. Secondary outcomes included the International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form and Anterior Cruciate Ligament Quality of Life Questionnaire (ACL-QoL) at those intervals. Chi-square and t tests were used for analysis. The study had 90% power to detect a difference of 2 mm between groups., Results: A sample of 127 patients was randomized. Of those, 14 did not have follow-up data and were excluded from this analysis, resulting in a final sample of 113 (55 patients in the device group and 58 in the physician group). No significant differences were found in baseline demographics or comorbidities. There were no significant differences between the groups (physician vs device) at baseline and at 6, 12, and 18 months in side-to-side laxity (4.6 vs 4.7 mm, 1.6 vs 1.3 mm, 1.5 vs 1.3 mm, and 1.1 vs 1.0 mm, respectively), IKDC score (58.2 vs 56.4, 72.0 vs 67.9, 79.9 vs 76.0, and 81.3 vs 78.5, respectively), or ACL-QoL score (998.2 vs 901.2, 1846.4 vs 1647.5, 2150.4 vs 2268.3, and 2436.9 vs 2231.8, respectively)., Conclusion: Measured tensioning of hamstring ACL grafts during fixation does not improve clinical outcome or knee laxity postoperatively when compared with conventional tensioning maneuvers., (© 2016 The Author(s).)
- Published
- 2016
- Full Text
- View/download PDF
3. Current concepts in instrumented knee-laxity testing.
- Author
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Pugh L, Mascarenhas R, Arneja S, Chin PY, and Leith JM
- Subjects
- Anterior Cruciate Ligament Injuries, Humans, Sports Medicine, Diagnostic Tests, Routine instrumentation, Knee Injuries diagnosis, Knee Joint physiopathology
- Abstract
Background: Instrumented knee laxity testing devices have been used in both the clinical and research setting to evaluate persons with injuries about the knee. The ability to accurately and reproducibly quantify knee motion has the potential to greatly benefit both clinical practice and research by improving the validity of the research involving treatment of knee-ligament injuries., Study Design: Systematic review; Level of evidence, 4., Methods: A thorough literature review was performed, and a systematic overview is provided evaluating the methods of use and the evidence for the use of instrumented knee laxity testing devices., Results: Devices that provide measurements of knee laxity have evolved during the past 30 years. The authors describe in detail their proper use and the best estimates of their validity based on clinical studies., Conclusion: The review suggests that the KT-1000 knee arthrometer and the Rolimeter provide best results when testing anterior laxity at the knee, whereas the Telos device is superior for the assessment of posterior laxity.
- Published
- 2009
- Full Text
- View/download PDF
4. Augmentation of femoral fixation in hamstring anterior cruciate ligament reconstruction with a bioabsorbable bead: a prospective single-blind randomized clinical trial.
- Author
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Arneja S, Froese W, and MacDonald P
- Subjects
- Anterior Cruciate Ligament Injuries, Bone Screws, Humans, Prospective Studies, Quality of Life, Single-Blind Method, Surveys and Questionnaires, Treatment Outcome, Absorbable Implants, Anterior Cruciate Ligament surgery, Femur surgery, Orthopedic Fixation Devices, Tendons transplantation
- Abstract
Background: The EndoPearl is an adjunct to bioabsorbable interference screw fixation in the femoral tunnel in anterior cruciate ligament (ACL) reconstruction. The purpose of the study was to assess the clinical effectiveness of the EndoPearl using the KT-1000 Knee Arthrometer and the Mohtadi ACL Quality of Life (ACL-QOL) Questionnaire., Hypothesis: The application of the EndoPearl in hamstring ACL reconstruction has no significant benefit when compared to conventional treatment in KT-1000 and ACL-QOL Questionnaire outcomes., Study Design: Prospective single-blind randomized clinical trial., Methods: ACL reconstruction with autogenous semitendinosus and gracilis tendons was performed on 35 patients. Preoperatively, 3 months, 6 months, and 18 months postoperatively, patients' knees were evaluated using the KT-1000 Knee Arthrometer and the ACL-QOL Questionnaire., Results: Statistically significant differences were achieved in terms of KT-1000 side-to-side differences between the study group and the control group at 6 months and 18 months postoperatively; the mean side-to-side differences are significantly less in the study group when compared to the control group. Statistically significant differences were not detected when comparing the ACL-QOL Questionnaire between the two groups at all time intervals., Conclusion: The application of the EndoPearl in conjunction with a bioscrew in the femoral tunnel in autogenous ACL reconstruction using semitendinosus and gracilis tendon grafts provides a significantly decreased laxity up to 18 months postoperatively in terms of KT-1000 side-to-side differences.
- Published
- 2004
- Full Text
- View/download PDF
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